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Korean J Crit Care Med > Volume 22(2); 2007 > Article
Korean Journal of Critical Care Medicine 2007;22(2): 91-95.
내과계 중환실자에서 체외막산소화장치 사용 후 호전된 임상 3예 -증례 보고-
박혜윤*ㆍ강은해ㆍ최효경*ㆍ서지영ㆍ권오정ㆍ성기익†ㆍ이영탁†
성균관대학교 의과대학 삼성서울병원 *내과학교실 호흡기내과, †흉부외과학교실
Successful Application of Extracorporeal Membrane Oxygenation for 3 Patients in Medical Intensive Care Unit: Case Report
Hye Yun Park, Eun Hae Kang, Hyo Kyoung Choi, Gee Young Suh, O Jung Kwon, Kiick Sung, Young Tak Lee
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. keunhae@unitel.co.kr
2Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
ABSTRACT
Extracorporeal membrane oxygenation (ECMO) is a life-sustaining salvage therapy applied to the patient with acute heart failure or respiratory failure which is considered curable, but uncorrectable by conventional means. Recently, accumulating data has shown the survival benefit of ECMO in patients with acute fatal cardiopulmonary decompensation. Here, we report a series of cases of successful ECMO treatment in patients with acute cardiopulmonary insufficiency. Case 1: A patient with progressive respiratory failure on mechanical ventilation after pneumonectomy was managed satisfactorily using a veno-venous ECMO. Case 2: A veno-arterial ECMO was used to support a patient with vasopressor refractory septic shock. After 5 days of treatment, the patient was successfully weaned from ECMO. Case 3: A patient in cardiac arrest after the orthopedic surgery was resuscitated using a veno-arterial ECMO. Pulmonary angiography on ECMO revealed massive pulmonary thromboembolism and embolectomy was thoroughly performed under the support of ECMO.
Key Words: Acute respiratory failure; Extracorporeal membrane oxygenation (ECMO); Pulmonary thromboembolism; Septic shock
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